Individual
MS. TAYLOR DANE MARIE CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
300 1ST CAPITOL DR, SAINT CHARLES, MO 63301-2844
(757) 927-3946
Mailing address
5974 WANDA AVE, SAINT LOUIS, MO 63116-2221
(757) 927-3946
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2024038208
MO
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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